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Dec
20
2006

What went wrong with the Oregon Health Plan, and what does it say about the prospects for coverage expansion initiatives in other states? Those are the questions addressed by Jonathan Oberlander in a Health Affairs Web Exclusive published today.

When it was first enacted in 1989, and approved by the federal government as a Section 1115 Medicaid demonstration project in 1993, OHP represented a leading state policy innovation that sparked a national debate on rationing health care. OHP was "intended to expand Medicaid to more people by covering fewer services," says author Jonathan Oberlander. But now the plan is "covering both fewer services and fewer people, and the elimination of entire benefit categories and rollback in enrolled beneficiaries looks more like the arbitrary cuts common in other states than the rational and equitable model of prioritization to which Oregon aspired."

You can read the article at: http://content.healthaffairs.org/cgi/content/abstract/hlthaff.26.1.w96

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